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August 17, 2025 • 24 mins
As the healthcare landscape continues to evolve, teleaudiology is emerging as a transformative approach to improving access to audiology services, especially for young children who may have limited access to in-person care.

This review highlights the impact and effectiveness of teleaudiology, examining key areas such as early intervention, family involvement, diagnostic accuracy, and the integration of telehealth technologies. Given the increasing role of telemedicine in public health and the critical importance of early detection and intervention for children born with hearing impairments, this topic could be highly relevant to your audience of healthcare professionals, caregivers, and individuals invested in public health advancements.

Joining Mark Alynon this edition of Late Night Health is Pamela Rowe, MA, ccc-SLP and Lauren M. Ramsey, PhD MPH talking about hard of hearing children.

Become a supporter of this podcast: https://www.spreaker.com/podcast/late-night-health-radio--2804369/support.
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Episode Transcript

Available transcripts are automatically generated. Complete accuracy is not guaranteed.
Speaker 1 (00:08):
This is Late Night Help. This is the radio show
that cares about the most important part of your.

Speaker 2 (00:16):
Life, your health.

Speaker 1 (00:18):
During the next hour, the Insane, Daryl, Wayne and I
are going to take a look at a couple of things.
We're going to start in just a few minutes. We're
going to talk about audio audiology. We're going to talk
about a special project that Pam raw Row and doctor
Lauren Ramsey Ramsey are are heading up. We'll talk about that,

(00:40):
and then later on we're going to talk to another
Floridian doctor, Julie Gatza, and we're going to find out
what to eat when it's hot. So that's on the
menu for today, so to speak. And we're gonna go

(01:00):
right now to Florida and talk to our new friends,
doctor Lauren Ramsey and doctor almost very soon. Pam Rose,
thank you for spending some time with us today.

Speaker 3 (01:17):
Thank you for having me. I'm excited.

Speaker 1 (01:22):
What is the official name of the project because it's
a long name.

Speaker 4 (01:28):
It's a long name, and we can break it down,
but the official formal name is Exploratory Review of Telemedicine
Approaches for Assessing Hearing Loss among Infants and Children.

Speaker 5 (01:41):
Wow.

Speaker 1 (01:42):
And then it'll be expanded to those of us who
might be over the age of forty at some time.
I hope is there a problem with young people and
hearing When I go and I we've talked about this

(02:03):
on the show in the past. When I go to
my audiologist one, I'm the youngest person in the waiting.

Speaker 5 (02:11):
Room, which always makes me feel good.

Speaker 1 (02:14):
But then a lot of people are coming in in wheelchairs, walkers,
canes and other kinds of mobile devices to get them
into the office. My question is do young people have
hearing loss and do we kind of ignore it?

Speaker 4 (02:38):
Yes, there are a lot of children and a lot
of infants that are born with hearing loss and their
born deaf or heart of hearing. It's congenital because it's
at birth, and many times it becomes you know, undetected.
You know, many people don't know there are signs of it.

Speaker 3 (03:01):
But we do try as a as a health system,
we do try to identify at the at the moment
of birth. Right we try to do.

Speaker 4 (03:12):
Autonomic brain response where they can actually see if the
infant is hearing and then if they don't pass that
specific screening, if they don't pass that assessment, then there
is time for follow up and then they want to
make sure that is it something that's still developing or

(03:35):
does the child in fact not here and have a
hearing loss.

Speaker 1 (03:41):
Your background is as a speech pathologist.

Speaker 3 (03:46):
Which is also with audiology. Can you believe it?

Speaker 4 (03:50):
My office and my practice, we actually do a lot
of screening all around Florida, and we do hearing screening,
We do vision screenings, we do speech and language screenings
just to make sure that we can help children at
the earliest age possible so that they don't have major

(04:12):
gaps and major delays in their communication and the way
they're able to hear people around them. So it is
something that is while it's not common, it is very
important that we catch these delays and also these hearing losses.

Speaker 3 (04:30):
At a very very very young.

Speaker 1 (04:33):
Age and help and doctor Ramsey. Your background. You have
a doctor at PhD. You also have an MPH. We
have two very smart women who have more degrees.

Speaker 5 (04:44):
Than well, you have an advanced degree.

Speaker 1 (04:49):
Yeah, you have them, right, But you know, I just
have this simple bachelor's degree. Our master of the universe.
As we said earlier, Doctor Ramsey, is that you're the

(05:09):
deputy project director and Pam is the project director of
this have you worked with a lot of kids as well.

Speaker 6 (05:20):
And the capacity to diagnose and assess children for death
of heart and hearing. No, but I do drug education
and on the East Coast here where I am engaging
with middle and high school students, and I am a
parent to a teenager.

Speaker 1 (05:38):
I'm sorry, I remember those days now, but.

Speaker 6 (05:44):
She's an older teen. She'll be twenty next month, so
we're moving, you know, into young adulthood. But I am
in the maternal and child health space, mostly speaking with
women about their birth and experiences. So Pam and I partnered.
I provide more so of the research aspect of the project,
supporting identification of articles, outlining the procedure to identify credible evidence.

(06:07):
So that's where I served in my role in this project.

Speaker 1 (06:10):
And you've also done a lot of work with substance
abuse lgbt Q plus audiences and issues, and you've worked
in DC.

Speaker 5 (06:26):
As well.

Speaker 1 (06:28):
To both of you, how prevalent is this problem and
will it affect the kids in their later lives if
they can't hear.

Speaker 3 (06:42):
Well?

Speaker 4 (06:42):
It is quite prevalent. It's while it's not common, it
is prevalent. It does happen. The main issue that I
think that our you know, our project wanted to illuminate
is there is an issue with barriers of some individuals
getting that follow up care. It does affect and the

(07:06):
reason why we care about this, it does affect their
ability to hit some of their major milestones. You know,
it takes a lot of auditory input and being able
to hear sounds around for a child to be able
to imitate and to hit their milestones with babbling and
cooing and gooing, and also being able to talk and

(07:29):
imitate words and just taking in the world around them,
not only just from their family, but the sounds in nature,
the sounds from the TV, the sounds from the radio,
the sounds from their family members. All of that shapes
the way that we are able to communicate and also
here the way that we communicate and shape those sounds

(07:52):
in our mouths. So the whole, the whole growth pattern
of communication can be shaped if there is a hearing loss,
if there is deafness.

Speaker 1 (08:05):
And I know that you know, if you're an older
adult with hearing loss and you leave it unattended, will
you and I talked about this cognitive ability communication skills
all denigrate and at a rapid rapid rate, if you
don't hear, you go into a shell. No, they say,

(08:30):
no person is an island. I'm updating that a little bit.
No person is an island, but you are just self
contained if you can't hear. Would you agree with that,
Doctor Ramsey?

Speaker 3 (08:45):
I do.

Speaker 6 (08:46):
In coming from the maternal child health space, the social
emotional learning is extremely important during that time and being
able to communicate certain emotions and interacting with people in
the world is extremely important at that age, which also
plays a role in how we interact with others in
our adult life. So a child who is deaf a
hard of hearing could face significant barriers throughout the life course,

(09:09):
so it's important to address it early and we do
have public health systems in place to do that.

Speaker 3 (09:15):
Now.

Speaker 6 (09:16):
Is it always effective? No, but and that's why we
have this project with Tela Audiology. I think we've learned
with the pandemic that we needed to adjust some things
in order to keep things moving, and that's where it
really became extremely popular. In order to continue to support
children and families who have, you know, experiencing.

Speaker 1 (09:36):
We're gonna we're gonna take time out. We'll be back
in just a couple of moments. You could check out
Pam and doctor Ramsey Lauren on our website and there'll
be a link to theirs at Latenighthealth dot com. That's
Latenighthealth dot com. We'll be back in just a couple

(09:58):
of moments as we turn the controls back to the
master of Universe, the Insane Daryl Wayne. Late Night Help
is proud of our partnership with the EBC, the Evolutionary

(10:19):
Business Council. Check them out at Ebcouncil dot com.

Speaker 2 (10:25):
You're listening to Late Night Health with Mark Allen. The
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Speaker 1 (13:03):
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I'm Mark Allen along with the insane Darryl Wayne. We're
talking with two women who have created a project to
help young kids.

Speaker 5 (14:16):
It's got to be difficult.

Speaker 1 (14:18):
And I'm going to start with Lauren Ramsey. It's got
to be difficult to figure out if a one year
old child can hear or not. I know that, am
I right?

Speaker 6 (14:34):
Well, they've come a long way with technology, so it's
not as difficult as some people may seem. You know,
we have Miss Pamela ro Here, whose speech language pathologists,
who works with many audiologists, they're very well skilled. I
think the main concern is actually once they've been tested
for hearing, which typically happens in the hospital, would be

(14:57):
that follow up after there's a disconnect between the medical
information share with the family and the parents. They may
not have the resources or a support of the environment
to go to the next step or even understand what's
being told. It can be devastating to hear that your
child has experienced hearing loss and what to do next.

(15:18):
So I think that might be the main issue as
opposed to doing the testing itself.

Speaker 1 (15:24):
And what about the parents, PAM, you know, you and
your teams, you know, diagnose a problem with say a
one year old, and you have to tell the parents
and do they accept it? Did they say I want

(15:46):
a second opinion? What is the general overview?

Speaker 3 (15:51):
Well, it depends.

Speaker 4 (15:52):
It really depends on the skill level of the clinician.
It also depends on the life experience of the family members.

Speaker 3 (16:03):
So there's a lot that's around it. It's also we have.

Speaker 4 (16:06):
To keep in mind their culture and their beliefs. So
having a clinician or a diagnostician thinking about what the
parent may be experiencing emotionally, what are some nuances and
what you know, what's some cultural beliefs or even faith
beliefs regarding heart of hearing and deafness, and being able

(16:31):
to ask questions, not assuming you understand everything, checking in
with them, how are you processing, what are you thinking about?
What does your culture say about this? Have you talked
to family members? What are they telling you? Having those
open conversations helps to build medical trust, and that is

(16:52):
what is key in these follow ups and having a
firm medical relationship and all areas of medicine, just making
sure that we start to build that trust even through
the diagnosis, being able to explain it in Layman's terms,
making sure that we're engaging in communication and knowing that

(17:14):
people communicate in different ways and they may not want
to open up and be all ushy gushy about it.
It's time to process it and they'll take time to
kind of think about it and really digest that information,
and they need to be allowed to have the space
to do so. That's why the follow up I can't

(17:37):
say it enough. The follow up appointment is so critical
because that's where we can readdress and revisit some of
these feelings.

Speaker 1 (17:45):
And that would be it would seem to me that
would be where that medical trust is built.

Speaker 5 (17:53):
Yes, right, Yeah.

Speaker 4 (17:54):
Does it happen just overnight, It's not going to always
happen culturally, That's not the way it happens, right, So
it doesn't automatically happen because someone has some letters behind
their names.

Speaker 3 (18:06):
I trust you. That's not the way it happens.

Speaker 4 (18:08):
We have to be able to connect with people on
a personal level and also just being open to how
they are perceiving it and how they're understanding it. So
very very important in how we continue to move forward
in service delivery.

Speaker 6 (18:26):
Yes, may make another point, sure we do have benchmarks
to have that you have babies connected by a certain
amount of time and then connected to support services. There
are barriers along the way, particular rural communities who cannot
readily go easily. The transportation is an issue, which is
also where Taeler Audiology comes in to hopefully or could

(18:48):
possibly mitigate that or closed that gap. Those are serious barriers.
In addition to interpreters language availability, so your child is
also hard of but then the parents might not be
English their new English language learners and need support there
to understand medical information. There are so many layers to

(19:09):
it that the barriers can definitely be pretty big to overcome.

Speaker 1 (19:14):
So it's like a chocolate cake with many, many layers,
many layers.

Speaker 5 (19:19):
Sounds good right about now?

Speaker 1 (19:22):
You're funded by PAM by a special.

Speaker 4 (19:27):
Group, Yes, yes, generously funded by c STE, which is
Council for State Territorial Epidemiologists. They are a wonderful organization
and they are really looking to delve into different processes
in different aspects of health, and we're just so grateful

(19:52):
that they were able to fund this this project in
which we can add to the research and the littercy
sure regarding being able to receive these audiological services remotely,
that's all tele audiology is. You're in one space, the
audiologist is in another space and connecting those two so

(20:16):
that you can receive the services that you so desperately need.

Speaker 1 (20:20):
I know that with adult hearing aids, some of the
new ones allow the audiologists to make adjustments over the Internet,
which I think is fabulous. That would have saved me
twenty five miles there and back another it would have
been a fit. It was a fifty dollars trip. When

(20:41):
you and I were talking yesterday, because I was going
to my audiologist for an adjustment, which by the way,
seems to have worked. Where's this going. What's the future
of the project?

Speaker 5 (20:58):
Who wants that?

Speaker 4 (21:00):
Well, I can chime in, and then doctor Ramsay can
chime in. Well, we are just looking to spread the word.
I mean, we're going to be speaking at different policy
expos and state.

Speaker 3 (21:09):
Conferences and national conferences.

Speaker 4 (21:13):
Also, we're going to publication, So that is the hope
that we will have this in various journal publications.

Speaker 3 (21:21):
And more than that, we definitely.

Speaker 4 (21:23):
Want to to disseminate some policy change and we want
to see some impact. So we're gonna be writing those
policy briefs and disseminating them to our congress men and
women and making sure that they know about this information
they in Layman's term, and that they know that it

(21:46):
is a critical need affecting many of their constituents, and
how they can support future efforts in expanding the health
coverage of tele audiology in the United States.

Speaker 5 (22:00):
I love it. I think that's a great program.

Speaker 1 (22:02):
Uh, doctor Ramsey, do you have any final thoughts here?

Speaker 6 (22:08):
No, just to reiterate what Pam's say regarding the policy implications,
there are some differences or like a mixed match between
the actual implementation of the use of teller audiology and
payment plan being able to pay for those services provider knowledge.

(22:30):
So there are a few gaps that we need to
feel in order to make it available and effective for everyone.

Speaker 1 (22:36):
Well, I appreciate your your time today and sharing this
tell Audiology. I think it's it's the wave if you
will the future, and I think that's important. Daryl, did
you have something? Oh, my time is up?

Speaker 5 (22:54):
Okay.

Speaker 1 (22:55):
Do you have a website, pam.

Speaker 3 (22:59):
Orlando.

Speaker 4 (23:00):
That's my private practice website, but of course anybody can
always reach me via LinkedIn, Pamela Rose, Speech Language Pathologists.
I'm on there, Doctor Ramsey, I know you're on there,
Doctor Lauren Ramsey on LinkedIn.

Speaker 1 (23:15):
Those are that would be the best places? All right, terrific,
and we'll have some information up on our website late
night health dot com as well. All Right, I'm Mark
Allen along with the insane dar alwaydon do not go away.
There is more coming up. It's hot out there and
we'll find out what to eat.

Speaker 5 (23:34):
Don't go away. Sh
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